| NPI | 1629700976 |
|---|---|
| Former Name | TAYLOR RAE TEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601012167) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-08-27 |